Preparation Guide
How to Prepare for Botox & Dysport
Expert guidance from Dr. Alexander Landfield, Board-Certified Neurologist
Proper preparation before your Botox or Dysport treatment minimizes bruising and helps you achieve the most natural-looking results. Follow this neurologist-approved guide from Rani Beauty Clinic.
1–2 Weeks Before Your Appointment
- 1Stop taking blood-thinning supplements 7 days before: fish oil, vitamin E, ginkgo biloba, garlic supplements, St. John's Wort
- 2Avoid aspirin and ibuprofen (Advil, Motrin) for 7 days — use acetaminophen (Tylenol) instead if you need pain relief
- 3Discuss any blood-thinning prescription medications (warfarin, Eliquis, Xarelto) with Dr. Landfield — do NOT stop these without medical advice
- 4Avoid alcohol for at least 24–48 hours before your appointment (increases bruising risk)
- 5Start taking arnica supplements 3–5 days before to help prevent bruising (optional but recommended)
The Day Before
- No alcohol the night before your appointment
- Stay well-hydrated — drink plenty of water
- Get adequate sleep — stress and fatigue can increase pain sensitivity
- Review your treatment goals: which areas do you want treated? Bring photos if helpful
Day of Treatment
- 1Arrive with a clean face — no makeup on the treatment area if possible
- 2Your clinician will discuss your goals, mark injection points, and review the treatment plan
- 3The procedure takes 10–20 minutes for most areas
- 4Ice or topical numbing cream may be applied for comfort (usually not necessary)
- 5Dr. Landfield supervises all neurotoxin treatments for precise, safe placement
What to Bring
- List of current medications and supplements
- Photos of your desired results (optional but helpful for communication)
- Questions about specific treatment areas
What to Wear
- Comfortable clothing — Botox is a quick procedure
- Come with minimal or no eye makeup if treating crow's feet or forehead
- Hair pulled back from the forehead if treating forehead or frown lines
Frequently Asked Questions
What should I stop taking before Botox?
Stop blood-thinning supplements 7 days before: fish oil, vitamin E, ginkgo biloba, garlic supplements. Avoid aspirin and ibuprofen for 7 days (use Tylenol instead). Avoid alcohol for 24–48 hours before. Do NOT stop prescription blood thinners without medical advice — discuss with Dr. Landfield first.
Should I avoid alcohol before Botox?
Yes — avoid alcohol for at least 24–48 hours before your Botox appointment. Alcohol is a blood thinner and vasodilator, which significantly increases the risk and severity of bruising at injection sites. Staying well-hydrated with water instead helps your skin respond better to treatment.
Does Botox hurt?
Most patients describe Botox as feeling like a small pinch. The needles used are extremely fine (30–32 gauge), and the injections are very quick. Dr. Landfield's neurological expertise ensures precise placement with minimal discomfort. Ice or topical numbing cream can be applied for patients who are particularly sensitive, though most patients don't need it.
How long does a Botox appointment take?
A typical Botox appointment takes 15–30 minutes total, including consultation, marking, and injections. The actual injection process takes only 10–15 minutes. If this is your first visit, allow 30–45 minutes so Dr. Landfield can assess your facial anatomy and discuss your goals in detail.
Is it better to get Botox from a neurologist?
Yes — Botox (botulinum toxin) is a neurotoxin, and neurologists have the deepest understanding of how it works at the neuromuscular junction. Dr. Landfield's board-certified neurology background provides expertise in facial nerve anatomy, muscle dynamics, and precise dosing that exceeds typical aesthetic injector training. This translates to more natural results and enhanced safety.
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